Yu no bɔt Pulmonary Hypertension? Lɛ wi tɔk bɔt am!

Yu dɔn ɛva yɛri bɔt wan sik we di prɛshɔn na di lɔng dɛn kin go ɔp? Dis difrɛn smɔl frɔm di ay blɔd prɛshɔn we wi kin tɔk bɔt. Dɔktɔ dɛn kin kɔl dis `Pulmonary Hypertension` (PH) , ɔr ay blɔd prɛshɔn na di lכng. fכ simpul wan, dis na we di bכdi prεshכn, כ prεshכn, insay di vein dεm we de kכri bכdi we nכ gεt כksijεn frכm yu at to yu lכng dεm (wi kכl dεn `pulmonary arteries`), de inkrεs we nכ nid. Dis na wan sik we rili siriɔs, bikɔs i kin gɛt big impak pan wi at ɛn wi lɔng.

Wetin mek Pulmonary Hypertension (PH) rili denja? Wetin kin apin to wi bɔdi?

Tink bɔt wetin kin apin we di prɛshɔn we de insay di vein dɛn we de kɛr blɔd go na di lɔng dɛn go bɔku. Jɔs lɛk aw we wata paip blok, i kin mek i nɔ izi fɔ mek di wata flɔ, dɛn vein dɛn ya kin smɔl, ɛn sɔntɛnde dɛn kin tik. Dɔn, di at gɛt fɔ wok tranga wan fɔ pɔmp blɔd to di lɔng dɛn. di rayt say na di at (di `rayt vεntrikl`) in patikyula de fil dis strεn mכst. As tɛm de go, di at kin bigin fɔ wik as i de kɔntinyu fɔ wok tranga wan. Dis sik kin kam bak wit difrɛn prɔblɛm dɛn na di bɔdi. Fɔ ɛgzampul:

• di εmoglobin we de dכn na di bכdi (` Anemia` ).
• Hat bit we nɔ de ɔltɛm (`Aritmias`).
• Blɔd kin klɔt na di vein dɛn na di lɔng dɛn .
• wan fluid kכlekshכn rawnd di at (` Pεrikardial efyushכn `).

If uman we gɛt bɛlɛ gɛt dis sik, i kin denja fɔ di mama ɛn di pikin. If dɛn nɔ trit dis sik, i kin mek yu at pwɛl smɔl smɔl (`rayt-sayd at pwɛl`) ɛn i kin ivin mek yu layf de pan denja. So, i rili impɔtant fɔ no di sik kwik kwik wan ɛn bigin fɔ trit am .

Wetin na di men kayn Pulmonary Hypertension (PH)?

Di Wol Wɛlbɔdi Ɔganayzeshɔn (WHO) dɔn sheb dis `Pulmonary Hypertension` (PH) kɔndishɔn to fayv men kategori akɔdin to di tin dɛm we de mek i gɛt am. Lɛ wi si wetin dɛn bi. 1. Kategori 1: PH we kכz fכ `Pulmonary Arterial Hypertension (PAH). insay dis, di bכdi vεsul dεm we de kכri bכdi to di lכng dεm (`pulmonary arteries`) de sכmtεm sכmtεm, tik, כ stif. Dis kin gɛt difrɛn tin dɛn we kin mek i apin. Sɔm mɛrɛsin, ivin sɔm mɛrɛsin, kin afɛkt dis. 2. Katej 2: PH we de kכz fכ prכblεm wit di lεft sayd na di at. Di lɛft say na wi at na di wan we de pɔmp blɔd to di wan ol bɔdi. So, if prɔblɛm de na di lɛft say na di at, i kin afɛkt di rayt say ɛn di sistɛm we de kɛr blɔd go na di lɔng dɛn. di bכdi nכ de fכlכ fayn εn i de blok, εn di prεshכn na di pulmonari vein dεm de go כp. 3. Kategori 3: PH we kכz fכ lכng sik כ we i nכ gεt כksijεn (`haypoksia`).Sɔm lכng sik kin mek di blɔd vesel dεm na di lכng sכmtεm sכmtεm. Dis kin mek di blɔd nɔ de flɔ, ɛn di prɛshɔn kin go ɔp. 4. Kategori 4: PH we de kכz fכ obstrכkshכn na di lכng. Blɔd we kin klɔt na di lɔng ɔ skata we kin kɔmɔt pan am kin mek blɔd nɔ flɔ. Dis kin put mɔ strɛs na di rayt say na di at, ɛn dis kin mek di blɔd prɛshɔn na di lɔng dɛn go ɔp. 5. Kategori 5: PH we ɔda sik dɛn kin mek. Dis PH kכndyushכn kin apin wit כda sik dεm, lεk sכm bכdi sik dεm εn mεtabolik dizכrd. Bɔt i nɔ klia yet klia wan aw dɛn sik ya kin mek pɔsin gɛt PH.

Udat kin afɛkt mɔ pan dis sik `Pulmonary Hypertension` (PH)?

Pulmonary Hypertension (PH) kin afɛkt big pipul dɛn we gɛt ɛni ej. Pipul wae gɛt hat ɔr lɔng sik kin gɛt bɔrku risk fɔ gɛt dis sik. E kin bi bak mɔr pan pipul dɛm wae gɛt ɔda kayn sik. Fɔ ɛgzampul:

• Klose to 100% pan pipul dɛm wae gɛt siriɔs mitral valv sik.
• Na lɛk 65% pan di pipul dɛm wae gɛt aɔta valv sik (ɔda at valv sik).
• Na lɛk 30% pan di pipul dɛm we gɛt `Scleroderma` (wan sik we de mek di skin ɛn di kɔnektiv tisu at ).
• Na lɛk 20% - 40% pan pipul dɛm wae gɛt siklɛt sik.
• Na lɛk wan pan ɛvri 200 pipul dɛn we gɛt HIV .

Bɔku tɛm, i kin afɛkt big pipul dɛn. כltu, sכm tεm, nyu bכbi pikin dεm kin gεt dis kכndyushכn bak (`Persistent Pulmonary Hypertension of the Newborn - PPHN`). If dis apin, dɛn go nid fɔ trit di pikin na di say usay dɛn de kia fɔ di pikin dɛn we sik bad bad wan. Ɔlsay na di wɔl, dɛn se lɛk wan pan ɛvri 10 big pipul dɛm wae dɔn pas 65 ia gɛt dis PH sik. Dis min se i kin bi se i kɔmɔn pas aw wi de tink.

Wetin na di fɔs sayn dɛm fɔ Pulmonary Hypertension (PH)?

Bɔku tɛm di fɔs sayn na we yu nɔ de blo fayn, ɔ yu de swɛt . Yu kin gɛt dis shɔt briz we yu de du nɔmal tin dɛn ɛvride, lɛk fɔ klaym stej, fɔ kɛr tin fɔ it, ɔ fɔ du ɛksɛsayz. Yu nɔ go gɛt ɛni sayn fɔs. We di sayn dɛn kin sho, dɛn kin rili smɔl. Bɔt as tɛm de go, dɛn sik ya kin tranga ɛn mek i nɔ izi fɔ du yu nɔmal tin dɛn.

Wetin na de sayn wae de sho wae de sik de go bifo?

As di pH lɛvɛl de go ɔp, yu kin gɛt shɔt briz ivin we yu jɔs tinap wansay. Dis kin kam wit sɔm sayn dɛm lɛk:

• Blu lip ɔ skin.
• Chɛst de pen ɔ tayt.
• Fɔ fil se yu ed de tɔn ɔ yu de fil fɔdɔm.
• Fɔ fil taya ɔltɛm (`Fatigue `).
• Di it nɔ de te.
• Pen na di ɔp rayt say na di bɛlɛ.
• Fɔ fil lɛk se yu at de bit fast fast.
• di ankles, leg, כ bכdi de swεla (`Edema`).

Dɛn sayn ya kin mek i nɔ izi fɔ du ɛksɛsayz ɛn du wok dɛn we pɔsin kin du ɛvride.

Stej dεm de fכ Pulmonary Hypertension (PH)?

Yes, di Wol Wɛlbɔdi Ɔganayzeshɔn (WHO) dɔn no 4 men stej dɛm fɔ PH. Dɛn kɔl dɛn tin ya "fɔnshɔnal klas dɛm." Dɛn tin ya kin bi bay di sayn dɛm wae yu kin gɛt ɛn aw yu kin du yu woke ɛvride. As de sik de go bifo, de sayn dɛm kin de mɔna yu ɛn i kin ambɔg yu ɛvride layf.

• Klas 1: Nɔbɔdi nɔ gɛt ɛni sayn.
• Klas 2: Nɔr de simptom wae yu de rɛst, bɔt sɔm kayn diskɔmfɔt ɔr pen wae yu de du nɔrmal tin dɛm, lɛk fɔ du os wok ɔr fɔ klaym stɛp.
• Klas 3: Yu kin stil fil fayn we yu jɔs sidɔm. Bɔt i rili at fɔ du nɔmal wok dɛn naw. Yu taya tumɔs ɛn yu strɛs.
• Klas 4: Di sayn dɛm kin de ivin we yu jɔs tinap. Di sik kin wɔs we yu tray fɔ du ɛni nɔmal tin.

Wetin na di tin dɛm wae kin mek pɔrsin gɛt Pulmonary Hypertension (PH)?

Bɔku difrɛn tin dɛn de we kin mek pɔsin gɛt PH. I dipen pan di kayn PH we yu gɛt. Difrɛn sik dɛm, di ɔndalayn wɛl bɔdi kɔndishɔn dɛm, ɛn ivin tin dɛm wae de na di envayrɔmɛnt (tɔxin, sɔm mɛrɛsin dɛm) kin mek i gɛt am.

Kategori 1: Di tin dεm we kin mek yu gεt `Pulmonary Arterial Hypertεnshכn (PAH)`

• At sik we dɛn bɔn wit .
• Sɔm mɛrɛsin dɛn we de mek pɔsin nɔ gɛt bɔku bɔku bɔdi (e.g., di drɔg "fen-phen," we kin mek pɔsin gɛt PAH ivin afta dɛn dɔn yuz am fɔ lɔng tɛm).
• Di chenj dɛn we de apin na di jɛnɛtiks .
• `Glaykojen stכrej sik dεm`.
• HIV infɛkshɔn.
• Liva sik .
• Lupus sik we dɛn kɔl Lupus sik.
• di pכtal haypatεnshכn (di prεshכn we de go כp na di vein dεm we de go na di liva).
• di sik dεm we nכ kin apin na di pulmonary vein lεk `Pulmonary capillary hemangiomatosis` εn `Pulmonary veno-occlusive disease`.
• Schistosomiasis (na sik we wan parasayt kin kam wit).
• Sklerodama sik we dɛn kɔl sklerodama sik.
• Yuz drɔgs lɛk `Mɛtamfɛtamin`.

Sɔm pipul dɛn kin gɛt PAH we nɔ gɛt klia kɔz. Dɛn kɔl dis `idiopathic`.

Kategori 2: Di tin dɛm wae kin mek yu gɛt PH wae kin kam wit disɔda na di lɛft say na di at

At sik na wan kɔmɔn tin we kin mek pɔsin gɛt PH. Bikɔs di lɛft ɛn rayt say na di at de wok togɛda, prɔblɛm we de na di lɛft say go afɛkt di rayt say bak.

• Di sik we de na di aorta valv: dis na prכblεm wit di valv bitwin di at in men pכmp chεmba (di `lεft vεntrikl`) εn di aorta (di bכdi in big bכdi vεsεl).
• di lεft sayd at fεil : Di lεft sayd na di at nכ de ebul fכ pכmp bכdi fayn fayn wan.
• di lεft vεntrikul haypatrכfi (we di wכl dεm na di lεft vεntrikul de tik) : dis de mek i at fכ di at fכ pכmp bכdi fayn fayn wan.
• Mitral valv sik : na prכblεm wit di valv we de alaw bכdi fכ fכm frכm di lεft atria to di lεft vεntrikl na di at.

Kategori 3: Di tin dεm we de mek PH kכz fכ lכng sik כ we i nכ gεt כksijεn (`hypoxia`) .

• Chronic obstructive pulmonary disease (COPD) : Dis kin inklud sik dɛm lɛk kronik brɔnkayt ɛn ɛmfisema. Dɛn tin ya kin mek i nɔ izi fɔ blo.
• intastitial lכng sik : Ska (fibrosis) de apin na di lכng tisu.
• Obstructive sleep apnea : Dis kin mek di aywe kin blok wan wan tɛm we yu de slip, ɛn dis kin mek di ɔksijɛn we di bɔdi de gɛt nɔ bɔku.

Kategori 4: Di tin dεm we de mek PH gεt bikoz fכ obstrכkshכn na di lכng dεm

dis kin kכz mεntal wan kכndyushכn we dεn kכl `Chronic Thromboembolic Pulmonary Hypertension (CTEPH) .` Dis na we bכdi kכlכt fכ fכm εn ska tisu na di vein dεm na di lכng. sכmtεm, dis kכndyushכn kin kכz bay skata we kכz fכ `pulmonary embolism` (bכlכd kכlכt we de stכk na di lכng).

Kategori 5: Di tin dɛn we kin mek pɔsin gɛt PH we ɔda sik dɛn kin mek

PH kin kam wit bɔrku ɔda sik dɛm, ɛn sayɛnsman dɛm stil nɔr ɔndastand gud gud wan aw e kin apun.

• Gaucher disease (wan sik we de mek pɔsin in bɔdi de wok).
• Kidni sik.
• Langerhans cell histiocytosis (na sik we de mek ska ɛn tɔŋ na big pipul dɛn lכng).
• Sarcoidosis (wan inflammatory kondishכn, we kin afekt di lכng dεm εn di limf no dεm mכst).
• Tayrɔyd sik.
• Tumɔs : Tumɔs, ilɛksɛf na kansa ɔ i nɔ gɛt wan prɔblɛm, kin mek prɛshɔn pan di vein dɛn na di lɔng.

Aw dɛn kin no se pɔsin gɛt Pulmonary Hypertension (PH)?

Yu dɔktɔ go chɛk yu ɛn if nid de, du sɔm tɛst fɔ no if yu gɛt PH. Fɔs, yu dɔktɔ go du wan ɛgzam fɔ yu bɔdi . De,

• Dɛn kin aks bɔt yu wɛl bɔdi istri ɛn di sayn dɛm wae yu gɛt.
• chεk fכ di jugular venous distenshכn (dis kin bi sayn fכ di rayt-sayd at fεil).
• Fɔ chɛk di saiz fɔ di liva, fil di ɔp rayt say na di bɛlɛ.
• Dɛn kin lisin to di at ɛn di lɔng dɛn wit stetɔskɔp.
• Chek di bɛlɛ, di anklɛ, ɛn di leg fɔ si if i swel (ɛdima).
• Dɛn kin mɛzhɔ di blɔd prɛshɔn.
• Wan puls ɔksimita de mɛzhɔ di ɔksijɛn lɛvɛl na di blɔd.

PH simptom kin tranga fɔ no bikɔs dɛn kin fiba ɔda kayn sik. So, afta yu dɔn chɛk yu bɔdi, yu dɔktɔ kin du ɔda tɛst dɛn. Dɛn kin sɛn yu bak to dɔktɔ we de mɛn yu lɔng (pulmonologist) ɔ pɔsin we sabi bɔt at (cardiologist).

Us tɛst dɛn kin yuz fɔ no PH?

• rayt hat kateshכn: dεn kכl am bak pulmonary artery catheterization, dis de mכsu di prεshכn na di pulmonary veins εn di כmכnt כf blכd we di at kin pכmp fכ wan minit. Dis na di men tɛst fɔ kɔnfɔm PH.
• Doppler echocardiogram: Dis na skan we yu de yuz sawnd wev. i kin sho aw di rayt vεntrikl na di at de wok εn aw bכdi de fכlכ tru di valv dεm. dis de mek di dכkta ebul fכ kכl di sistolik pulmonari atεri prεshכn.
• Blɔd tɛst: Dɛn tin ya kin chɛk fɔ si if di ɔgan dɛn de wok, di ɔmon lɛvɛl, ɛn infɛkshɔn. dis dεm inklud tεst dεm lεk di ``Kכmplit mεtabolik panεl`` εn ``kכmplit bכdi kכnt.``
• Chɛst CT skan: Dɛn kin chɛk fɔ si if blɔd dɔn klot ɛn ɔda prɔblɛm dɛn we de na di lɔng.
• Chɛst X-ray: Dɛn kin yuz dis fɔ si if di rayt say na di at ɔ di pulmonari vein dɛn big pas aw i kin bi.
• Slip tɛst (`Polysomnogram - PSG`): Na wan ɔvnayt tɛst fɔ si if yu gɛt `slip apnea`.
• Pulmonary ventilation/perfusion (VQ) scan: I de chɛk fɔ si if blɔd dɔn klot na di lɔng dɛn.

Yu dɔktɔ kin du siks minit tɛst bak fɔ waka . Dis go mek yu no ɔmɔs ɛksesaiz yu go ebul fɔ bia ɛn ɔmɔs ɔksijɛn de na yu blɔd we yu de du ɛksɛsayz. Dis kin gi yu wan aidia fɔ no if yu PH nɔr kin pasmak ɔr kin tranga.

Wetin na di tritmɛnt dɛm fɔ Pulmonary Hypertension (PH)?

Di tritmɛnt fɔ PH de dipen pan di kayn PH we yu gɛt ɛn yu ɔda wɛlbɔdi kɔndishɔn. Yu mɛdikal tim go mek wan tritmɛnt plan we go fayn fɔ yu. Naw, na tu kayn PH nɔmɔ de we dɛn kin trit dairekt wan:

• ``Pulmonari Atεri Haypatεnshכn (PAH)''.
• ``Krכnik Tromboεmbolik Pulmonari Haypatεnshכn (CTEPH)''

Ɔda kayn PH dɛn kin trit bay we dɛn kin kɔntrol di ɔndalayn mɛdikal kɔndishɔn dɛn we kin mek dɛn gɛt am. Tritmɛnt fɔ `Pulmonary Arterial Hypertɛnshɔn (PAH):

• Calcium channel blockers: Dɛn mɛrɛsin ya de ɛp fɔ ridyus di blɔd prɛshɔn na di pulmonary veins ɛn ɔlsay na di bɔdi.
• Diuretics ("water pills"): I de ɛp fɔ pul di wata we pasmak na di bɔdi.
• Ɔksijɛn tɛrapi: Dis kin nid fɔ bi if ɔksijɛn nɔ de na di blɔd.
• Pɔlmonari vasodilatɔ dɛn:Dɛn mɛrɛsin ya kin mek di pulmonari vein dɛn rilaks ɛn opin dɛn bɛtɛ. Dis kin mek di blɔd flɔ fayn ɛn i kin mek di wok we de na di at nɔ bɔku.

Tritmɛnt fɔ `CTEPH`:

• Anticoagulants (mɛrɛsin dɛn we de mek blɔd nɔ klɔt).
• Balloon atrial septostomy (BAS): Pan ɔl we dɛn kin du dis fɔ pikin dɛn we gɛt siriɔs at prɔblɛm, dɛn kin yuz am bak fɔ mek big pipul dɛn we gɛt PH stebul te dɛn ebul fɔ gɛt lɔng transplant.
• Balloon pulmonary angioplasty (BPA): Dis na wan we we dɛn kin yuz kateshɔn fɔ mek di pulmonari at dɛn big. Dɛn kin du am fɔ pipul dɛn we nɔ kin ebul fɔ du big ɔpreshɔn.
• Mεdikeshכn: Na mεdikeshכn we dεn kכl `Soluble guanylate cyclase stimulator (SGCS)` kin εp fכ kכntrכl di prכgreshכn fכ di sik.
• Pulmonary endarterectomy (PEA): Dis na ɔpreshɔn. I de pul di blɔd we de kɔmɔt na di lɔng dɛn. Dis na di onli we naw fɔ mɛn PH kɔmplit wan. Bɔt, na pipul dɛn nɔmɔ we gɛt CTEPH dɛn kin du am.

PH we hat ɔr lɔng sik kin kam wit, dɛn kin trit am bay we dɛn de kɔntrol di sik we de ɔnda am, so di tritmɛnt plan kin difrɛn frɔm wan pɔsin to ɔda pɔsin.

Mɛmba se yu nid fɔ tɔk to yu dɔktɔ ɛn disayd us tritmɛnt go fayn fɔ yu.

Sɔm pipul dɛm wae gɛt siriɔs PH kin nid fɔ gɛt lɔng transplant as las tin fɔ du.

Aw fɔ manej di mɛrɛsin fɔ Pulmonary Hypertension (PH)?

Yu kin de tek bɔku mɛrɛsin fɔ PH ɛn ɔda kɔndishɔn. I kin tranga fɔ mɛmba ɔl dɛn tin ya ɛn du am di rayt we. Na sɔm advays dɛn ya:

• No di nem fɔ ɔl di mɛrɛsin dɛn we yu de tek ɛn aw dɛn de wok. Mek wan list ɛn kip am wit yu ɔltɛm.
• Tek yu mɛrɛsin di sem tɛm ɛvride. If yu fɔgɛt wan doz, nɔ tek tu doz fɔ mek yu pe am. Kɔl yu dɔktɔ ɛn aks wetin fɔ du.
• Nɔ tek ɛni mɛrɛsin we yu kin bay we yu nɔ go to yu dɔktɔ. Sɔm mɛrɛsin fɔ kol, kɔf, ɛn fiva, ɛn mɛrɛsin fɔ mek pɔsin nɔ fil pen, kin mek prɔblɛm to pipul dɛn we gɛt at sik.
• Nɔ tek ɛni mɛrɛsin we dɛn rayt se nɔ fayn fɔ pipul dɛn we gɛt ay blɔd prɛshɔn.
• Nɔ stɔp fɔ tek ɛni mɛrɛsin ɔ chenj di doz we yu nɔ tɔk to yu dɔktɔ.
• Nɔ yuz ɛbul sɔpɔtmɛnt ɛn ɛbul ti. Dɛn kin intarakt wit sɔm mɛrɛsin wae yu de tek.

Wetin na de luk fɔ pɔrsin wae gɛt Pulmonary Hypertension (PH)?

Dis kin difrɛn frɔm wan pɔsin to ɔda pɔsin. I dipen pan:

• Di tin we kin mek pɔsin gɛt PH.
• Aw dɛn bin no di sik kwik kwik wan.
• Di kayn we aw di sik kin siriɔs.
• Ɔda sik dɛn we kin kam wit am.

Bɔrku kayn PH nɔr kin wɛl ɔl. Dɔktɔ dɛn kin gi mɛrɛsin fɔ mek di sik nɔ bɔku, fɔ mek in layf bɛtɛ, ɛn fɔ kɔntrol aw di sik de go bifo. Bɔt sɔm pipul dɛn we gɛt CTEPH kin wɛl if dɛn du ɔpreshɔn. If dɛn nɔ trit am, Pulmonary Hypertension (PH) kin mek yu rayt-sayd at pwɛl ɛn leta i kin day. So, if yu gɛt di rayt tritmɛnt, dat kin ɛp yu fɔ liv lɔng ɛn kɔntinyu fɔ gɛt gud kwaliti layf.

Wetin na di tin dɛm wae kin mek pɔrsin gɛt Pulmonary Hypertension (PH)?

• We pɔsin de gɛt asbest.
• Fɔ gɛt famili histri bɔt blɔd we de klɔt.
• Fɔ gɛt famili mɛmba we gɛt Pulmonary Hypertension (PH).
• Fɔ liv na ay ay ples dɛn we pas di si.
• Smok ɛn yuz tin dɛn we dɛn kin yuz fɔ smok.
• Sɔm mɛrɛsin dɛn we dɛn kin yuz fɔ lɔs yu wet (e.g. "fen-phen" - `dexfenfluramine` ɛn `phentermine`).
• Sɔm mɛrɛsin fɔ kansa ɛn pwɛl hat.
• Yuz drɔgs.

Dɔn bak, pipul dɛm wae gɛt dis sik kin gɛt bɔrku risk:

• Blɔd kin klɔt na di vein dɛn na di lɔng dɛn.
• Kɔnektiv tisu sik.
• `Dɔn sindrom`.
• Gaucher sik we dɛn kɔl Gaucher.
• At sik.
• `HIV`.
• Liva sik.
• Sik dɛn we kin kam na di lɔng.

Yu tink se dɛn kin mek pɔsin nɔ gɛt Pulmonary Hypertension (PH)?

PH nɔ kin ebul fɔ stɔp ɔltɛm. Sɔm tin dɛn we kin mek wi gɛt dis sik nɔ kin ebul fɔ kɔntrol. If yu gɛt tin dɛn we kin mek yu gɛt prɔblɛm, yu dɔktɔ kin tɛl yu fɔ du sɔm tɛst dɛn fɔ chɛk aw yu at ɛn yu lɔng dɛn de wok. Yu kin ridyus yu risk fɔ gɛt PH bay wae yu du ɔl wetin yu ebul fɔ mek yu nɔr gɛt ɔr kɔntrol ɔda mɛdikal kɔndishɔn dɛm.

• Mek wan plan fɔ du ɛksɛsayz. Aks yu dɔktɔ us ɛgzampul dɛn we nɔ bad fɔ yu.
• Fɔ fala di it we go ɛp yu at. Nɔ it tin dɛn we gɛt bɔku sɔl, ɔyl, shuga, ɛn atifishal it dɛn.
• Stɔp fɔ smok ɛn fɔ tek tabak. Dɛn tin ya na di men tin dɛn we kin mek pɔsin gɛt at ɛn lɔng sik.
• Tek mɛrɛsin fɔ blɔd prɛshɔn ɛn ɔda sik dɛn jɔs lɛk aw yu dɔktɔ tɛl yu.

Us kayn fɔlɔp kia a fɔ gɛt?

Tɔk to yu dɔktɔ bɔt aw fɔ kɔntrol ɛn wach yu sik. Yu dɔktɔ go tɛl yu we yu nid fɔ kam insay fɔ tɛst ɛn chɛk-ap. Tɛl yu dɔktɔ wantɛm wantɛm if yu gɛt ɛni nyu sik ɔ if yu sik chenj. Dɔn bak, tɔk to yu dɔktɔ bɔt:

• Di we aw fɔ plan famili ɛn if bɛlɛ nɔ bad. Bεlε na risky fכ pipul dεm we gεt PH.
• Bil wan imejensi kit. Pipul wae gɛt PH nid fɔ kip sɔm tin ɛn infɔmeshɔn nia dɛn an ɔltɛm.
• Ɛksasayz.Aks wetin sef fɔ yu, aw fɔ put ɛksesaiz insay yu ɛvride layf, ɛn us ɛksesaiz fɔ avɔyd.
• Sizin vaksin (lɛk flu, nyumonia).
• Sɔpɔt grup ɔ advays. Yu kin gɛt difrɛn kayn filin wae yu de ajɔst fɔ liv wit PH.
• Travul plan fɔ travul. Yu go nid fɔ tek spɛshal tin dɛn fɔ tek tɛm if yu de travul wit plen. Yu fɔ tek tɛm bak we yu de travul go na ay ay ples.

Us chenj dɛn we a fɔ mek pan di it dɛn we a de it?

Yu dɔktɔ go gi yu patikyula advays dɛn. Wan impɔtant tin na fɔ ridyus di sɔl (sɔdiɔm) we yu de it. Dis min se:

• Stɔp fɔ ad sɔl na tebul ɛn yuz "sizin sɔl."
• Nɔ it mit ɛn fish we dɛn dɔn smok, we dɛn dɔn sɔl, ɛn we dɛn put insay tin fɔ it.
• Pik it dεm we dεn rayt "low sodium" (low salt).
• Limit fast fud ɛn tek-ɔut it.

Ɔda chenj dɛn we dɛn kin mek pan di it dɛn we pɔsin kin it:

• It mɔ it dɛn we gɛt fayv (wɔlɔ gren, bran, frut, vɛjitebul).
• It it dɛn we gɛt bɔku potashɔm (rɛsin, banana, ɔrɛnj).
• It it dɛn we gɛt bɔku magnɛsiɔm (pinat, tofu, brɔkoli).
• Nɔ it tin dɛn we gɛt rifin shuga, sɛtyuret fat, ɛn kɔlɔstrel.

Ustɛm a fɔ go to di dɔktɔ?

Tɔk to yu dɔktɔ if yu gɛt ɛni wan pan dɛn kwɛstyɔn ya:

• At bit kwik kwik wan (mɔ pas 120 bit pan minit).
• If yu gɛt infɛkshɔn we yu de blo ɔ yu gɛt kɔf we de wɔs.
• If bɔku tɛm yu kin fil lɛk se yu ed de tɔn ɔ yu kin fɔdɔm.
• Chest pen ɔ diskɔmfɔt we yu de du fyzikal aktiviti.
• Taya pasmak ɔ nɔ ebul fɔ du nɔmal wok dɛn.
• Nɔs ɔ nɔ want fɔ it.
• Nɔ rɛst ɔ kɔnfyushɔn.
• If yu dɔn shɔt fɔ blo mɔ ɛn mɔ, mɔ we yu wek na mɔnin.
• If di anklɛ, leg, ɔ bɛlɛ de swel mɔ ɛn mɔ.
• If yu gɛt prɔblɛm fɔ blo we yu de du nɔmal tin ɔ ivin jɔs tinap.
• di wet we yu de gεt (lεk 1 kilo insay wan de, כ lεk 2.5 kilo insay wan wik).

Ustɛm a fɔ go na di imejensi rum (ER)?

If sɔntin lɛk dis apin, go na di imejensi rum wantɛm wantɛm, ɔ kɔl 1990:

• If di at rit tu fast (120-150 bit pan minit) ɛn nɔ slo.
• If yu lɔs kɔnshɛns ɛn yu fɔdɔm.
• If yu de tek mɛrɛsin dɛn we dɛn kin put insay yu bɛlɛ lɛk prostacyclins tru Hickman kateshɔn, prɔblɛm dɛn de lɛk infɛkshɔn, kateshɔn muvmɛnt, mɛrɛsin lik, blɔd, ɔ IV pɔmp nɔ wok.
• If di shɔt briz nɔ de go dɔŋ ivin we yu jɔs tinap wansay.
• If yu gɛt siriɔs pen na yu chɛst wantɛm wantɛm.
• If yu gɛt siriɔs ed pen wantɛm wantɛm.
• If yu gɛt wik ɔ yu an ɛn fut dɛn we nɔ gɛt bɛtɛ trɛnk wantɛm wantɛm.

Fɔ dɔn, di mɛsej we impɔtant pas ɔl

We dɛn no se yu gɛt Pulmonary Hypertension (PH) kin bi sɔntin we kin mek yu kɔnfyus. I kin tek tɛm fɔ ɔndastand wetin i bi, wetin de apin insay yu bɔdi, ɛn aw yu go liv wit am fɔ go bifo. Tɔk to yu dɔktɔ fɔ gɛt di sɔpɔt we yu nid. Mek yu famili ɛn padi dɛn tek pat pan yu layf we yu de chenj. Mek dɛn no bɔt yu kɔndishɔn. Dɔn bak, as yu de ajɔst to dis nyu nɔmal, nɔ ɛva shem fɔ aks fɔ ɛp ɛn abop pan ɔda pipul dɛn. Nɔto yu wan de. Yu kin ebul fɔ mɛn dis sik fayn fayn wan if yu gi yu di rayt mɛrɛsin ɛn yu gɛt fayn abit. Pulmonary Hypertension, PH, Pulmonary Hypertension, At sik, Lɔng sik, Difikulti fɔ brith, Respiratory Disease